Exploiting tumour addiction with a serine and glycine-free diet.
Exploiting tumour addiction with a serine and glycine-free diet.
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DOI:
10.1038/cdd.2017.83
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发表时间:
2017-08
影响因子:
12.4
通讯作者:
Frezza C
中科院分区:
文献类型:
--
作者:
Amelio I;Melino G;Frezza C
Understanding cancer metabolism is key to revealing the Achilles’ heel of cancer cells and providing novel therapeutic interventions for patients. While the rerouting of metabolic pathways during development 1 or cancer transformation and progression 2–4 has been extensively characterised, the exact dynamics of these events, their distribution and frequency in different tumour types, and their correlation with genetic background remain largely unknown. In a recent article published in Nature, Karen Vousden’s team assesses the effect of serine and glycine (SG) dietary restriction in autochthonous mouse tumour models driven by different oncogenes, 5 leading to potential areas of therapeutic intervention. The non-essential amino acids serine and glycine are now considered essential metabolites for some types of cancers. 3, 6 Serine can be imported into the cell through different transporters or can be produced by diversion of glycolytic glucose in the serine biosynthetic pathway (SSP). 7 Exogenous or de novo-synthetised serine is converted to glycine, and by stimulating one-carbon metabolism, provides a source of nucleotides, ATP, methylation reactions, and antioxidant defences, such as glutathione and NAPDH. 8 Cancer cells can react to SG deprivation by triggering SSP, suppressing aerobic glycolysis, and increasing the flux to the tricarboxylic acid cycle. This rearrangement of metabolism supports adaptation to oxidative stress initiated by impaired onecarbon metabolism, and allows cells to survive under these adverse conditions. Notably, the response to serine starvation is regulated by p53 and, in consequence, p53−/− cells fail to respond to SG depletion, showing severe impairment of proliferation and cell viability associated with unbalanced redox defence. 9 Together, these lines of research indicate that SG metabolism can be a potential target for cancer therapy. As an alternative to selectively targeting the enzymes responsible for SG synthesis, Maddocks et al. 5 reasoned that SG deprivation could be a powerful strategy to affect this pathway. In their recent study, they analysed the response to an SG-free diet in different genetically modified animal models of lymphoma (Eμ-Myc), intestinal tumours (ApcMin/+), and pancreatic cancer (Pdx1-cre; KRasG12D/+; trp53+/− and Pdx1-cre; KRasG12D/+; Trp53R172H/+). These experiments indicated that SG starvation effectively prolongs survival of Eμ-Myc and ApcMin/+ mice, which carry pre-malignant lesions since shortly after birth. The authors also tested the impact of this restricted diet on established malignant tumours. They developed xenograft/allograft models by subcutaneous injection of human colorectal carcinoma (HCT-116) or mouse Eμ-Myc tumour cells and transferred the animals to an SG-depleted experimental diet after the tumours were established. SG restriction reduced tumour volume after relatively short periods of treatment (6 days of SG-free diet in Eμ-Myc cellsderived tumours) and this was associated with increased cell death in the tumour core.SG deprivation was also shown to increase mitochondrial metabolism. 10 Therefore, the authors tested the effects of SG dietary restriction in combination with biguanides and inhibitors of complex I of the electron transport chain. The results highlighted a complex response that suggested that biguanides and SG deprivation might synergise in restricting tumour growth when the combination effectively prevents oxidative defence. Phenoformin indeed reduced tumour growth in Eμ-Myc mice. However, due to its high toxicity, the use of the more tolerable analogue metformin was required to complete the study. Unexpectedly, in SG-deprived …
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影响因子:
12.4
作者:
通讯作者:
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